Individual ProviderLee Vong YangPharmacistPharmacy Service ProvidersPractice Address60 Mdg / Mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809(707) 423-7657PECOS EnrollmentBased on the most recent information from CMS, provider Lee Vong Yang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1700485406Provider TypeIndividualFull NameYang, Lee VongCredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date10/22/2020Last Updated10/23/2024Contact InformationPractice LocationPractice Address60 Mdg / Mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809Phone(707) 423-7657FaxUnlisted FaxMailing LocationMailing Address60 Mdg / Mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809Phone(707) 423-7657FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense83324California